NPI age
19 years
Enumerated 2007-05-04
Across 539 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 09182254 | |
| 05 (AL) | 128696 | |
| 05 (AL) | 128697 | |
| 01 (AL) | 051116829 | BCBS |
| 01 (AL) | 051116830 | BCBS |
| 05 (AL) | 128691 | |
| 01 (AL) | 051116828 | BCBS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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